Dr. Afar Noho Dental Group Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

DR. AFAR NOHO DENTAL GROUP INC

Practice address

11126 Chandler Blvd
North Hollywood, CA 91601-3228

Phone

(818) 432-8300

Fax

(818) 432-8319

NPI assigned

Sep 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcela Martinez

Title

Office Manager

Phone

(818) 432-8300

Specialties & licenses 1

Addresses

Other names 1

• NoHo Dental Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1487322665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 CHANDLER BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013228",
            "telephone_number": "818-432-8300",
            "fax_number": "818-432-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 CHANDLER BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013228",
            "telephone_number": "818-432-8300",
            "fax_number": "818-432-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AFAR NOHO DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-432-8300"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NoHo Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health Dentistry in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.